• The Korean Journal of Pain
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• 제28권3호
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• pp.198-202
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• 2015

Background: Lack of proper control of acute postoperative pain often leads to lingering or chronic pain. Several studies have emphasized the role of beta-blockers in reducing postoperative pain. Esmolol is a selective short-acting beta-blocker that produces few side effects. The purpose of this study was to examine the effect of intravenous intraoperative esmolol on postoperative pain reduction following orthopedic leg fracture surgery. Methods: In a clinical trial, 82 patients between 20-65 years of age with tibia fractures and American Society of Anesthesiologists (ASA) physical status I & II who underwent surgery were divided into two groups. Group A received esmolol and group B received normal saline. Postoperative pain was measured at three time points: entering the recovery unit, and at 3 h and 6 h following surgery, using the Visual Analogue Scale (VAS). A P value of < 0.05 was considered significant. Results: Mean VAS scores at all three time points were significantly different between the two test groups (P = 0.02, P = 0.0001, and P = 0.0001, respectively). The consumption of pethidine was lower in group A than in group B (P = 0.004) and the duration of its effect was significantly longer in time (P = 0.026). Conclusions: Intravenous intraoperative esmolol is effective in the reduction of postoperative pain following leg fracture surgery. It reduced opioid consumption following surgery and delayed patient requests for analgesics.

• 한국측량학회지
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• 제34권2호
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• pp.153-159
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• 2016

Rivers refer to either natural or artificial structures whose primary functions are flood control and water conservation. Due to recent localized torrential downpours led by climate change, large amounts of eroded soil have been carried away, forming deposits downstream, which in turn degrades the capacity to fulfill these functions. To manage rivers more effectively, we need data on riverbed erosion and deposition. However, environmental factors make it challenging to take measurements in rivers, and data errors tend to prevent researchers from grasping the current state of erosions and deposits. In this context, the aim of the present study is to provide basic data required for river management. To this end, the author made annual measurements with a Real-time Kinematic-Global Positioning System (RTK-GPS) and a total station in Pats Cabin Canyon, Oregon, United States, and also prepared thematic maps of erosion and deposition thickness as well as water depth profiles based on a GIS spatial analysis. Furthermore, the author statistically analyzed the accuracy of three dimensional (3D) measurement points and only used the data that falls within two standard deviations (i.e. ±2σ). In addition, the author determined a threshold for a DEM of Difference (DoD) by installing measurement points in the rivers and taking measurements, and then estimated erosion and deposition thickness within a confidence interval of ±0.1m. Based on the results, the author established reliable data on river depth profiles and thematic maps of erosion and deposition thickness using pre-determined work flows. It is anticipated that the riverbed data can be utilized for effective river management.

• Journal of Acupuncture Research
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• 제41권2호
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• pp.115-120
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• 2024

Background: Migraine is a common disabling headache that affects every aspect of a person's life. Auricular acupuncture is a cost-effective treatment modality for the management of painful neurological conditions. Previous studies have shown the beneficial effects of a combination of ear points in the management of migraines. However, no studies have evaluated the efficacy of a single auricular point (i.e., sympathetic point) in migraine. Thus, this study evaluated the efficacy of sympathetic points on pain intensity and depression levels in patients with migraine. Methods: In this randomized controlled study, 100 patients with migraine aged 18-45 years were randomly divided into either an auricular acupuncture group (AAG) (n = 50) or a placebo control group (PCG) (n = 50). The AAG underwent needling at the sympathetic point (an auricular acupuncture point), whereas the PCG underwent needling at a non-acupuncture point for 20 minutes daily for 7 days. Assessments were performed before and after the intervention using a 6-item headache impact test (HIT-6) and Beck depression inventory (BDI) scale. Statistical analyses were performed using SPSS version 16. Results: In within-group analysis, the AAG showed a significant reduction in HIT-6 and BDI, whereas the PCG showed a significant increase in HIT-6 and a significant reduction in BDI. In between-groups analyses, HIT-6 reduced significantly in the AAG compared with that in the PCG, whereas BDI reduced significantly in the PCG compared with that in the AAG. Conclusion: In patients with migraine, needling at the sympathetic point produces a greater reduction in the pain intensity level and lesser reduction in the depression level compared to needling at a non-acupuncture point.

• 대한원격탐사학회지
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• 제40권3호
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• pp.257-268
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• 2024

Drone-mounted hyperspectral sensors (DHSs) have revolutionized remote sensing in agriculture by offering a cost-effective and flexible platform for high-resolution spectral data acquisition. Their ability to capture data at low altitudes minimizes atmospheric interference, enhancing their utility in agricultural monitoring and management. This study focused on addressing the challenges of radiometric and geometric distortions in preprocessing drone-acquired hyperspectral data. Radiometric correction, using the empirical line method (ELM) and spectral reference panels, effectively removed sensor noise and variations in solar irradiance, resulting in accurate surface reflectance values. Notably, the ELM correction improved reflectance for measured reference panels by 5-55%, resulting in a more uniform spectral profile across wavelengths, further validated by high correlations (0.97-0.99), despite minor deviations observed at specific wavelengths for some reflectors. Geometric correction, utilizing a rubber sheet transformation with ground control points, successfully rectified distortions caused by sensor orientation and flight path variations, ensuring accurate spatial representation within the image. The effectiveness of geometric correction was assessed using root mean square error(RMSE) analysis, revealing minimal errors in both east-west(0.00 to 0.081 m) and north-south directions(0.00 to 0.076 m).The overall position RMSE of 0.031 meters across 100 points demonstrates high geometric accuracy, exceeding industry standards. Additionally, image mosaicking was performed to create a comprehensive representation of the study area. These results demonstrate the effectiveness of the applied preprocessing techniques and highlight the potential of DHSs for precise crop health monitoring and management in smart agriculture. However, further research is needed to address challenges related to data dimensionality, sensor calibration, and reference data availability, as well as exploring alternative correction methods and evaluating their performance in diverse environmental conditions to enhance the robustness and applicability of hyperspectral data processing in agriculture.

• 산업융합연구
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• 제22권9호
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• pp.53-61
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• 2024

목적: 본 연구는 간호대학생의 지역사회 감염병 예방 봉사활동 경험이 COVID-19 예방에 대한 태도, 셀프리더십, 감염병 예방행위에 미치는 차이를 파악하기 위한 비교서술연구이다. 방법: 전국 14개 지역에서 286명(실험군 146명, 대조군 140명)의 간호대학생을 대상으로 2021년 11월 1일부터 30일까지 편의표본 추출을 통해 자료를 수집하였고, 봉사활동에 참여 여부에 따른 각 변수의 평균 차이는 t-test로 분석하였다. 결과: 봉사활동 유무에 따른 차이를 비교한 결과, COVID-19 감염예방에 대한 태도는 활동 유경험은 42.25±5.35점, 활동 무경험은 40.02±6.30점으로(p=.001), 셀프리더십은 활동 유경험은 72.04±13.18점, 활동 무경험은 66.58±10.85점으로(p<.000), 감염병 예방행위 실천은 활동 유경험은 44.31±7.62점, 활동 무경험은 39.38±7.20점으로(p<.000) 모두 통계적으로 유의하게 높았다. 결론: 향후 새로운 감염병 발생사태를 대비하여 실제 간호를 제공해야 하는 간호대학생에게 감염병 예방 관련 봉사활동 참여를 격려해야 한다는 교육방향을 제공했다는 점에서 임상실무적 의의와 교육적 의의가 있다. 이 결과는 간호대학생들이 대상자별 맞춤형 교육·홍보 프로그램을 통한 지역사회 감염병 예방봉사활동을 실시함에 있어서 학교 차원의 예산 지원이나 동아리 활동 또는 정규교과목 등으로 운영할 수 있을 것이며, 추후 간호교육 프로그램의 개발에 기초자료로 활용될 수 있을 것이다.

• 대한교통학회지
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• 제24권1호
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• pp.19-28
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• 2006

항공수요의 급속한 팽창으로 항공기 운항의 증가와 공역 및 활주로의 혼잡도 심화로 인해 운영상 위험(Operational risk)이 급증하고 있어 체계적인 항공안전에 대한 위기관리시스템의 구축이 필요하다 항공안전 분야의 선진국일수록 평상시 비상대응체계 및 여러 가지 위험관리기법을 가동함으로써 조직의 긴장감 유지 및 예방안전의 도구로 활용하고 있다. 따라서 항공운송산업의 안전에 대해 총괄적인 관리 감독의 의무가 있는 항공안전본부 차원에서 이와 같은 과학적인 위기관리 모형을 이용한 위기관리체계의 도입이 필요하다. 위험요인분석 기법들은 데이터베이스가 구축되어 있거나, 충분한 정보와 자료가 있는 경우에는 사용될 수 있으나 현재의 국내 여건 상 충분한 자료의 확보가 곤란하여 실용적으로 사용되기가 어려운 것이 현실이다. 따라서 본 연구에서는 현재의 제한된 자료를 사용하여 실현가능 한 위험관리모형을 제시하기 위해 위험인자를 선정하고 각 위험인자에 대한 중요도와 발생빈도를 계산한 후 위험관리 모형을 제시하였다 이러한 위험관리 모형을 통해 항공운송분야에서 주기적 위험관리를 효과적으로 시행하기 위해서는 반드시 국가차원의 광범위한 자료의 수집이 선행되어야 한다.

• The Korean Journal of Pain
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• 제26권4호
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• pp.374-378
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• 2013

Background: Incisional pain is particularly troublesome after hysterectomy. A method called transversus abdominis plane block (TAPB) has shown promise in managing postoperative pain. In this study, we evaluated the analgesic efficacy of ultrasound-guided TAPB after hysterectomy at different time points and at each time point separately for 48 hours. Methods: Forty-two patients (ASA I, II) who were electively chosen to undergo total abdominal hysterectomy were divided into 2 groups, control (group C) and intervention (group I). Twenty-one patients underwent TAPB (group I) and 21 patients received only the standard treatment with a fentanyl pump (group C). Both groups received standard general anesthesia. For patients in group I, following the surgery and before emergence from anesthesia, 0.5 mg/kg of ropivacaine 0.2% (about 20 cc) was injected bilaterally between the internal oblique and transverse abdominis muscles using sonography. Pain scores using the Visual Analogue Scale (VAS) and drug consumption were measured at 2, 6, 12, 24, and 48 hours after TAPB. Results: There were no significant differences in demographics between the two groups. VAS scores appeared to be lower in group I, although there was no interaction with time when we compared mean VAS measurements at different time points between group I and group C (P > 0.05). The amount of fentanyl flow was consistently higher in group C, but when we compared the two groups at each time point separately, the observed difference was not statistically significant (P < 0.053). The incidence of vomiting was 10% in group I and 28% in group C. There were no complaints of itching, and sedation score was 0 to 3. There were no complications. Conclusions: This study showed that TAPB did not result in a statistically significant decrease in VAS scores at different time points. TAPB did lead to decreased fentanyl flow, but when we compared the two groups at each time point separately, the observed difference was not statistically significant.

• 디지털융복합연구
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• 제11권7호
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• pp.157-163
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• 2013

본 논문에서는 손가락 마디 추정을 이용한 비전 및 깊이 정보 기반 손 인터페이스 방법을 제안한다. 먼저 비주얼 영상 및 깊이 정보 영상을 매핑한 후 왼손과 오른손의 영역의 레이블링 및 윤곽선 잡음 보정 후 각 손 영역에 대하여 손 중심점 및 회전각을 구현한다. 그리고 손 중심점에서 일정간격의 원을 확장하여 손 경계 교차점의 중간 지점을 계산하여 손가락 끝점과 마디를 추정하여 사용자의 손가락 동작을 인식한다. 본 방법을 실험한 결과 손의 회전 및 손가락 시작점 및 끝점을 정확하게 추정하여 다양한 손동작 인식 및 제어가 가능함을 보였다. 왼손과 오른손을 사용하여 다양한 손 포즈에 대해 실험한 결과, 본 논문의 제안 방법은 평균 90% 이상의 정확도로 초당 25프레임 이상의 처리 성능을 보였다. 제안 방법은 컴퓨터간의 HCI 제어, 게임, 교육 등의 비접촉식 인터페이스 응용분야에 적용될 수 있다.

• Preventive Nutrition and Food Science
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• 제9권4호
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• pp.383-388
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• 2004

This study was designed to identify how the incidence and severity of premenstrual. syndrome (PMS) correlate with the nutrient intakes and exercise habit of women. The subjects of this study were 299 women residing in Busan metropolitan city. Each subject was asked to complete a menstrual discomfort questionnaire (MDQ) for PMS and nutrient intakes. PMS symptom scores of women in their twenties ranked in order of severity were: behavioral change (2.45), followed by pain (2.36) and water retention (2.28), negative effects (2.20), autonomic reaction (1.91), arousal (1.87), decreased concentration (1.76) and decreased control (1.74). For Women in their thirties, the symptom of pain was the most dominant (2.93) followed by autonomic reaction (2.69) and behavioral change (2.54), and for those in their forties, negative effect (3.06) was highest, followed by pain (2.97) and autonomic reaction (2.86). The overall symptoms of PMS significantly increased with age (20': 2.07 points, 30': 2.34 points, 40': 2.47 points). There was no correlation of the BMI of the subjects with the symptoms of PMS, but there was a significant negative correlation between the symptoms of PMS and exercise frequency for women in their thirties and forties. Subjects in their twenties exhibited a significant negative correlation for PMS symptoms with the intake of carbohydrate (p < 0.05), calcium (p < 0.05) and vitamin E (p < 0.05). For subjects in their thirties, PMS symptoms were negatively correlated with the intake of calcium (p < 0.05) and vitamin C (p < 0.05); and in women in their forties, calcium (p < 0.01) and carbohydrate (p < 0.05) intakes were negatively correlated with PMS symptoms. This suggests that PMS represents the clinical manifestation of a nutrient deficiency state, especially calcium. Therefore, we concluded that nutrient supplementation and exercise management are likely to be of benefit in relieving PMS symptoms.

• Journal of Korean Neurosurgical Society
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• 제29권8호
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• pp.1126-1135
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• 2000

Objectives : The goal of surgical management of cerebral arteriovenous malformation(AVM) is elimination of the lesion without development of new neurological deficits. To improve the management results of cerebral AVMs in the future, this article discusses about surgical complications of the AVM and their management. Material and Methods : During the past 18 years, 116 patients with cerebral AVMs were managed by surgery. Among these cases, 7 cases died, 7 cases developed new neurological deficits, 11 cases residual AVM and 5 cases intracerebral hematoma(ICH) after surgery. The author analyzes the causes of those complications and investigates the methods to minimized those complications based on the review of the literatures. Results : One stage removal of AVM and ICH in the poor neurological state were performed in 5 of 7 death cases. Subtotal removal of ICH followed by delayed AVM surgery after recovery is regard as one method to improve the outcome of patient with large ICH. Postoperative new neurological deficits developed owing to normal perfusion pressure breakthrough(NPPB) in 3, judgement error in 2, preoperative embolization in 1 and cortical injury in 1 case(s). Proper management of NPPB, accurate anatomical knowledge and physiological monitoring during operation, and well trained skill for embolization are regard as methods to minimize those complications. Residual AVMs after surgery were noticed in 11 cases, in which unintended 6 cases due to inaccurate dissection of peripheral margin of AVM, and intended 3 cases due to massive brain swelling during operation, 1 cases due to diffuse type and 1 case due to multiple type of AVM. Accurate dissection of peripheral margin of AVM and mild hypotension during operation may help to avoid this complication. Postoperative hemorrhage occurred in 3 cases due to rupture of the residual AVM and in 2 cases due to oozing from the AVM bed. Complete resection of AVM, complete control of bleeding points at AVM bed and mild hypotension during early postoperative period are the methods to avoid this complication. Conclusion : A precise but flexible therapeutic strategy and refined skill for endovascular, radiosurgical and microsurgical techniques are required to successful treatment of cerebral AVM. Adequate timing of AVM resection, accurate anatomical knowledge, proper management of NPPB and accurate dissection of peripheral margin of AVM are the key points for avoiding complications of the AVM surgery.